MEDICARE: MAHJABEEN HAQ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	2835691	NY

General Provider Information

NPI Number	:	1790123289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHJABEEN HAQ D.O.

Provider Business Mailing Address
First Line	:	25 BEAUMONT DR
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-2507
Country	:	US
Telephone Number	:	455-361-0578
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W MAIN ST STE 110
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3028
Country	:	US
Telephone Number	:	631-376-2663
Fax Number	:	631-376-4800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	03/02/2026

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